肝周填塞技术的改进。

A refinement in the technique of perihepatic packing.

作者信息

McHenry C R, Fedele G M, Malangoni M A

机构信息

Department of Surgery, Case Western Reserve University, Cleveland, Ohio 44109-1998.

出版信息

Am J Surg. 1994 Sep;168(3):280-2. doi: 10.1016/s0002-9610(05)80202-8.

DOI:10.1016/s0002-9610(05)80202-8

PMID:8080068

Abstract

Early intra-abdominal packing is a lifesaving maneuver for selected patients with major liver injuries. However, the effectiveness of perihepatic packing can be limited by renewed bleeding when laparotomy pads that have become adherent to the injured liver surface are removed. A technique for intra-abdominal packing of complex liver injuries is presented that avoids the bleeding sequelae related to pack removal.

摘要

早期腹腔内填塞是救治部分严重肝损伤患者的一项挽救生命的操作。然而，当移除已粘连在受损肝表面的剖腹手术垫时，肝周填塞的有效性可能会因再次出血而受到限制。本文介绍了一种复杂肝损伤的腹腔内填塞技术，该技术可避免与移除填塞物相关的出血后遗症。